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EAsrnirN�r <br /> — — INDIVIDUALS/��� i� <br /> �� � <br /> �-- <br /> Thc tcrms and condi!ions of this eascmcnt arc hcreby acccpled and approved by the City as of thc <br /> dalc hci'r,inabove sCt forlh. <br /> CITY OP GVGRG7'T <br /> By: ___2�/� <br /> 'ritle: _��4� � � <br /> REPR�SrN'fA I'IVL ACKNOWLGDGMENT <br /> STA'I'G OP ��'ASI IINGTON ) <br /> :SS. <br /> CountyofSnohon:is;h ) <br /> i ccrli(j� lhut i kno��� ur h:n�c satisl;�ictory c��idcncc lhal_ �C� �--�CA-rc�. C� �4"� �J <br /> signcd this instrument, on oath stalcd tliat (ic �hc/tlicy) (�!verc) aulhorized to exccutc tl�c <br /> instrumcnt and acknocvicdgcd it as thc I r��-� of <br /> � . <br /> �� � �e c n�v 4Jrk-1�. n o � C�S `� ''�¢..'�'u.r v� l Ylno{- <br /> to be thc frec aud volwitary act of sur,h party for the uses and purposes mcntioned in the <br /> inslrumcnl. <br /> R j M�R Dated: `� IZIc Iv<o <br /> �,n ,�SsioN�kps,�, Signaturcot � `n� � <br /> ���'� ��Q�N NO�al17� �U�S IC: (/l'l � � � <br /> NOTARY Notary (print namc) Lo r', s , M o r S)L. <br /> —•— <br /> PUBLIC <br /> uj, io-�2-2009 p� Rcsiding a! _S-�c�n woo � , w P <br /> 9� G~ �ty aippoiutment espires: �� �� z -�S <br /> �F VdASN�� �. <br /> .____ � �I � <br /> , � � <br />